NORC at the University of Chicago, USA.
NORC at the University of Chicago, USA.
Soc Sci Med. 2022 Apr;299:114881. doi: 10.1016/j.socscimed.2022.114881. Epub 2022 Mar 8.
Studies show that older adults were lonelier during versus before the COVID-19 pandemic. This may be due in part to guidelines particularly recommending that older adults stay at home, given their elevated risk of COVID-19 complications. However, little is known about the extent to which this population experienced greater intensity in momentary loneliness during versus before the pandemic, and how this relates to their real-time contexts. Here, we build upon recent findings from the Chicago Health and Activity Space in Real-Time (CHART) study that revealed associations between momentary contexts and loneliness among older adults. We analyze ecological momentary assessments (EMAs) from both pre- and during COVID-19 among a subsample of CHART respondents (N = 110 older adults age 65-88 in 2020). Pre-pandemic data were collected across three waves from April 2018-October 2019, and pandemic data were collected across three additional waves from June-September 2020. Participants responded to smartphone "pings" (five per day for 7 days per wave; N = 5596 and N = 7826 before and during the pandemic, respectively) by reporting their momentary loneliness and context (e.g., home). Findings from multi-level regression models suggest that respondents were lonelier in mid-2020 than in years prior, as well as when at home and alone; they were also more likely to be at home during the pandemic. However, the loneliness-inducing effects of being at home (vs. outside the home) and alone (vs. with others) were weaker during versus before COVID-19. Results provide important nuance to broader trends in loneliness among older adults during the pandemic. Specifically, older adults may have adopted new technologies to support social connectedness. It is also possible that, during a time in which social and physical distancing characterized public health guidelines, these contexts grew less isolating as they became a shared experience, or that publicly shared spaces provided fewer opportunities for social engagement.
研究表明,与新冠疫情之前相比,老年人在疫情期间更加孤独。这可能部分是由于指南建议老年人呆在家里,因为他们感染新冠病毒后出现并发症的风险较高。然而,对于这一人群在疫情期间与疫情之前相比,瞬间孤独感的强度有多大,以及这种孤独感与他们的实时环境有何关联,人们知之甚少。在这里,我们基于芝加哥健康与实时活动空间(CHART)研究的最新发现,该研究揭示了老年人的瞬间环境与孤独感之间的关联。我们分析了 CHART 受访者中一个子样本的新冠疫情前和疫情期间的生态瞬间评估(EMA)数据(2020 年,110 名 65-88 岁的老年人)。疫情前的数据是在 2018 年 4 月至 2019 年 10 月期间通过三个波次收集的,而疫情期间的数据是在 2020 年 6 月至 9 月期间通过另外三个波次收集的。参与者通过智能手机“推送”回复(每个波次每天 5 次,每个波次持续 7 天;分别在疫情前和疫情期间收到了 5596 次和 7826 次回复),报告他们的瞬间孤独感和环境(例如,家)。多水平回归模型的结果表明,与疫情前相比,受访者在 2020 年中期更加孤独,无论是在家中还是独处时;他们在疫情期间也更有可能待在家里。然而,在家(与不在家相比)和独处(与与他人在一起相比)的孤独感增强效应在疫情期间比疫情前更弱。这些结果为疫情期间老年人孤独感的整体趋势提供了重要的细微差别。具体来说,老年人可能已经采用了新技术来支持社交联系。也有可能是,在社交和物理距离成为公共卫生指导方针的时期,这些环境变得不那么孤立,因为它们成为了一种共同的体验,或者公共共享空间提供了较少的社交机会。